A 61-year-old woman comes to the clinic complaining of palpitations. She has also noticed some weight loss over the last 2 months. On clinical examination, she has an irregularly i... A 61-year-old woman comes to the clinic complaining of palpitations. She has also noticed some weight loss over the last 2 months. On clinical examination, she has an irregularly irregular pulse and a fine tremor. Her ECG shows atrial fibrillation. Which of the following is the next most appropriate investigation to do? A. Carotid Ultrasound B. Thyroid function tests C. Exercise tolerance test D. 24 hours ECG monitoring

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Understand the Problem

The question describes a clinical scenario involving a 61-year-old woman with symptoms suggesting atrial fibrillation and asks for the most appropriate next investigation to perform.

Answer

B. Thyroid function tests

The final answer is B. Thyroid function tests

Answer for screen readers

The final answer is B. Thyroid function tests

More Information

The symptoms described, including weight loss, irregular pulse, and tremor, suggest possible hyperthyroidism, often linked with atrial fibrillation.

Tips

A common mistake is not associating atrial fibrillation with hyperthyroidism.

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